Sandra Gautier Blackman, PA-C
Sandra Gautier Blackman, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2021, 5 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.
- Years since qualifying
- 5
- Licensed in
- FL
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
12902 Usf Magnolia DrTampa, FL 33612-9416
Phone: (813) 745-4673
Fax: (813) 449-8618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9114259 (FL) |
|---|---|
| Surgical Oncology Physician | Taxonomy 2086X0206X · Licence PA9114259 (FL) |
Record details
| NPI number | 1710551478 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 18, 2021 |
| Last updated in NPPES | September 19, 2025 |
| Certification date | September 19, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Tampa
-
Dr. Kyle Thomas Bowers, MD
3000 Medical Park Dr Ste 140, Tampa, FL 33613-4679 · (813) 978-8315
-
Dr. Nicholas Tyler Champion, MD
12902 Usf Magnolia Dr, Tampa, FL 33612-9416 · (813) 745-7365
-
Charles E Cox, MD
17416 Brookside Trace Ct, Tampa, FL 33647-6200 · (813) 660-6150
-
Dr. John Myrrh Cox, MD
3000 Medical Park Dr Ste 140, Tampa, FL 33613-4679 · (813) 978-8315